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Old Jan 19, 2014, 10:31 AM
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willowbrook willowbrook is offline
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Member Since: Apr 2009
Location: South of the Equator
Posts: 329
I differentiate between boundary crossings, which may be helpful to a patient, and boundary violations, which are always harmful. I'm particular sensitive to boundary violations due to previous therapy abuse.

My Pdoc has crossed boundaries, but never violated them, and any boundary crossings have been for the good of myself and the therapeutic process. There has only been one time where we've skated a little too close to the edge of violating ethical boundaries as set out by his governing medical body (when he revealed to me why he had been 'off' in a recent session, owing to his concerns about another patient), but the situation was quickly fixed, boundaries were reset, and no harm was done. Despite everything, in that case I still believe he did the right thing at the time, because I have trust issues with Pdoc's and him being as open and honest with me as he could (without revealing identifying details) helped me to feel better and stop ruminating/self recriminating over what had transpired previously.
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Diagnosis:

Complex-PTSD, MDD with Psychotic Fx, Residual (Borderline) PD Aspects, ADD, GAD with Panic Disorder, Anorexia Nervosa currently in partial remission.

Treatment:

Psychotherapy
Mindfulness